 <form name="submit-rec" class="reciept-1" method="POST" action="">					
          <div class="">
                        <h1>اضافة سند صرف جديد</h1>
                        <hr />
                       
                        <div class="bookings-edit-container">
                        <div class="bookings-edit-row">
                        <table class="edit-bookings-table">
                                <tr>
                                    <td>التاريخ</td>
                                    <td>:&nbsp;<input readonly required type="text" class="small-input date-1-miladi" name="date" id="date-miladi-<?php echo $contract['contract_id'];?>" placeholder="" /></td>
                                    <td>رقم السند</td>
                                    <td>:&nbsp;######</td>
                                </tr>
                                <tr>
                                    <td>الموافق</td>
                                    <td class="hijri-date-1">:&nbsp;</td>
                                    <td><input type="hidden" name="contract_id" class="contract_id small-input " value="<?php echo $contract['contract_id'];?>"/>
                                    </td>
                                    <td><input type="hidden" name="hijri-date" id="hijri-date-1" value="1"/> </td>
                                </tr>
                                <tr>
                                    <td>أمين الصندوق</td>
                                    <td>:&nbsp;<input type="text" required class="small-input" name="amen_sondoq" id="" placeholder="" /></td>
                                </tr>
                                <tr>
                                	<td>المستلم</td>
                                    <td>:&nbsp;<input type="text" class="auto-input" name="recipient" /></td>
                                </tr>
                                <tr>
                                	<td>المبلغ </td>
                                    <td>:&nbsp;<input type="text" class="auto-input amout-paid-1" name="amount" /></td>
                                    <td>طريقة الدفع</td>
                                    <td>:&nbsp;
                                    <select required class="small-select" name="type">
                                      <option value="0">نقدى</option>
                                      <option value="1">حوالة بنكية</option>
                                    </select>
                                    </td>
                                </tr>
                                <tr>
                                	<td>من أجل</td>
                                    <td>:&nbsp;<input required type="text" class="auto-input" name="reason" value="بدل إيجار وحدة رقم <?php echo $contract['apart_name']; ?>" /></td>
                                </tr>
                                <tr>
                                	<td>ملاحظات </td>
                                    <td><p class="text-right"><textarea id="" class="" style="" tabindex="19" cols="20" rows="2" name="notes"></textarea></p></td>
                                </tr>
                         </table>       
						
                        </div>
                        <div class="save-botton-4">إضافة</div>
                        <div class="mfp-close close-button" >x</div>
						<!--<input type="submit" value="goo"/> -->
                        </div>
                      </div> 
					   </form>